Self-Care Assessment Form Page 3

Workplace or Professional Self-Care

____ Take a break during the workday (e.g., lunch)

____ Take time to chat with co-workers

____ Make quiet time to complete tasks

____ Identify projects or tasks that are exciting and rewarding

____ Set limits with clients and colleagues

____ Balance my caseload so that no one day or part of a day is “too much”

____ Arrange work space so it is comfortable and comforting

____ Get regular supervision or consultation

____ Negotiate for my needs (benefits, pay raise)

____ Have a peer support group

____ (If relevant) Develop a non-trauma area of professional interest

Overall Balance

____ Strive for balance within my work-life and work day

____ Strive for balance among work, family, relationships, play, and rest

Other Areas of Self-Care that are Relevant to You

____

(Retrieved 8/6/2010 from

Butler, Ph.D.)

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Parent category: Business